Lindenwood Medical PC
NPI 1811220882ActiveOrganization· Family Medicine, Adult Medicine· Staten Island, NY
Family Medicine, Adult Medicine in Staten Island, New York, registered in NPPES in September 2009. The authorized official on file is Zoya Koroleva, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811220882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2009 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Feb 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 251641 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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